Case studies of two community hospitals show how to advance accountable care.

New Mexico’s model to deploy community health workers is now replicated in 12 states.

This report presents the findings from the evaluation of Medicaid health homes, created as part of the Affordable Care Act.

This brief describes Medicaid payment reform strategies for long-term services and support.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

This Bipartisan Policy Center report makes policy recommendations to allow Medicare to pay for non-medical supports and services.

A study of five programs identified key factors that support collaboration among community-based health and social services.

This 2016 survey reveals that the health care system is failing people with complex needs

Stanford Coordinated Care provides university employees with complex health needs better care at a lower cost

Analysis of care models that serve Medicare-only individuals detailing policy barriers to providing uncovered services and supports and proposed strategies to address them.

The composition of teams varies depending on state staffing requirements and community resources.

Improving care for high-need, high-cost patients is a key lever to decrease national health spending.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

Examines a unique program that seeks to integrate medical, behavioral health, and social services for dual eligible individuals with serious mental illnesses, substance abuse problems, or disabilities.

Dual-eligible beneficiaries are often more sick, have greater functional and cognitive impairments, and require more care coordination.

Provider incentives must be based on Triple Aim outcomes.

Experts describe how delivery systems can effectively serve adults with complex needs.

The U.S. had the highest rate of cost-related access problems.

By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.

The National Governors Association worked for two years to improve care and lower costs for Medicaid “super-utilizers.”